How many ways can hemorrhoids surgery be cured? _ Hemorrhoids

There are many hemorrhoids surgery's methods, each of which has its own different classification. According to my experience, it can be divided into four categories: one is traditional injection therapy, such as sclerosing agent injection therapy. There are two kinds of injections commonly used in clinic: sclerosing atrophy agent and necrotic exfoliating agent for dry hemorrhoids. Sclerosing agent is suitable for all stages of internal hemorrhoids and is commonly used in clinic at present. However, after the aseptic inflammatory reaction caused by drugs disappears, the contraction and extrusion of fibrosis are gradually relieved, and hemorrhoids are easy to recur. If the injection site is too shallow, it will easily lead to mucosal ulceration and mucosal abscess, and if it is too deep, it will easily lead to tissue sclerosis. If the dose is too large, it will cause necrosis and massive bleeding. If the liquid medicine seeps out of dental floss, it will cause severe pain, edema or thrombosis in anus. Excessive dosage of necrotizing agent can often cause postoperative necrotizing bleeding or infected necrotic surface ulcer, and it is easy to recur. The second is the treatment of various therapeutic instruments, such as liquid nitrogen freezing, laser, microwave, electronics (including low frequency, radio frequency, capacitance field, ion penetration and electrodynamic oscillation), HCPT and so on. And copper ions used in recent years. In fact, some of them are publicity gimmicks of individual medical units, not advanced technology and real minimally invasive treatment. Third, the traditional hemorrhoids surgery, such as ligation of internal hemorrhoids, excision of external hemorrhoids, external stripping and internal ligation of mixed hemorrhoids, ligation therapy (COOK technique), circular hemorrhoidectomy, etc. Most of these are classic surgical methods, which are convenient and widely used, and are suitable for all stages of hemorrhoids. The main disadvantages are obvious bleeding and pain. The fourth is minimally invasive techniques, such as PPH and ultrasonic scalpel hemorrhoidectomy. PPH surgery is a popular treatment for hemorrhoids in the world today. Entering Chinese mainland in 2000, we applied this technology in 200 1, and treated 1 10,000 patients with good results. The advantages are less trauma, less pain and quick recovery, which can significantly improve the symptoms of rectal mucosal prolapse, improve the sensory disturbance caused by anatomical variation of anal canal and improve the performance of patients. The disadvantage is that some patients have rectal stenosis, and very few patients have rectal rest rooms. We found an example, which was reported in Italy abroad but not in China.